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Hospital discharge planning: carrying out orders?
- Author:
- MOODY Harry R.
- Journal article citation:
- Journal of Gerontological Social Work, 43(1), 2004, pp.107-117.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers working in hospital discharge planning face recurrent conflicts between patients' rights and the pressures of managed care. What should professionals do when confronted with orders that violate their conscience even where they do not violate the law? Exemptions for hardship or religious identity may or may not provide a basis for case-by-case decision-making. When confronted by ethical conflicts, discharge planners may be tempted to manipulate diagnostic categories in order to prolong a hospital stay. A better approach is to change policy at the institutional level so that professionals are not faced with a choice between sacrificing themselves or following ethical standards as patients prepare to leave the hospital. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Achieving timely simple discharge from hospital: a toolkit for the multi-disciplinary team
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 48p.
- Place of publication:
- London
What happens during the discharge process is a key part of patients’ experiences of hospital care. Whether patients are admitted for elective care or as an emergency, they want to know how long they are likely to stay in hospital. Information about their treatment and when they can expect to be discharged helps them to feel involved in decisions and motivated in achieving goals towards recovery. It also helps them to make plans for their own discharge. In the latest Healthcare Commission National Patient Survey (2004) patients identify delays in the day of discharge home from hospital as a key area where standards can be improved. This toolkit, focuses on the practical steps that health and social care professionals can take to improve discharge. It supports members of the multi-disciplinary team by providing practical advice, factsheets and case studies. The toolkit has been designed and tested with practitioners in the field and is grounded in the reality of day to day practice. At least 80% of patients discharged from hospital can be classified as simple discharges: they are discharged to their own home and have simple ongoing health care needs which can be met without complex planning. Changing the way in which discharge occurs for this large group of patients will have a major impact on patient flow and effective use of the bed capacity. It can mean the difference between a system where patients experience long delays or one where delays are minimal, with patients fully informed about when they will be able to leave hospital.The Department of Health has also launched checklists that will contribute to more effective discharge as part of a total approach to improving bed management and flow of patients into and out of hospital.
Snap decision
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 2.5.96, 1996, pp.32-33.
- Publisher:
- Reed Business Information
Hospital social workers often have to make rapid judgments with little knowledge of their client. The author reports on one worker's dilemma.
Evaluating social work discharge planning services for elderly people: access, complexity and outcome
- Authors:
- OKTAY Julianne S., et al
- Journal article citation:
- Health and Social Work, 17(4), November 1992, pp.290-298.
- Publisher:
- Oxford University Press
Reports on a study of 1,100 elderly patients from Baltimore hospitals which examined the extent to which elderly people most in need receive social work services, the extent to which the discharge planning performed is a professional task and the effectiveness of discharge planning for those who return to their own homes.
Review of the special care (early hospital discharge) scheme
- Authors:
- EVANS E., FARNSWORTH Simon, HOWARD Mavis
- Publisher:
- Gloucestershire. Social Services Department
- Publication year:
- 1987
- Pagination:
- 64p., tables, diags.
- Place of publication:
- Gloucester
Report discussing the results of research into the current operation of this scheme, including cost-effectiveness, client profiles, consumer views, the perspectives of hospital social workers, hospital staff general practitioners and the opinions of home care staff.
"You can take him home now": carers experiences of hospital discharge
- Author:
- CARERS NATIONAL ASSOCIATION
- Publisher:
- Carers National Association
- Publication year:
- 2001
- Pagination:
- 8p.
- Place of publication:
- London
When the person they care for goes into hospital, the point at which they are discharged is crucial for the carer. The amount of information shared with the carer, the degree of choice about taking on caring responsibilities, the level of planning and services all affect the carer's health, well being, income, ability to care and their quality of life.
Coming up for care: assessing the post-hospital needs of older patients
- Authors:
- HEALY Judith, et al
- Publisher:
- Policy Studies Institute
- Publication year:
- 1999
- Pagination:
- 146p.,tables,bibliog.
- Place of publication:
- London
This book explores staff who are involved in assessing post hospital needs of older patients and the process involved in that assessment. It looks at different multidisciplinary assessment team models and analyses the factors that predict the post hospital services likely to be received by older patients. The study has implications for health and social care professionals, since it demonstrates that the post hospital services received by older patients are influenced by the kind of professionals who assess them.